Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUKAT ALI KHAN
Active Sole ProprietorGerontology Occupational Therapist · PORT LAVACA, TX
Registration Details
- NPI Number
- 1346720307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2018 (7.6694081779347 yrs)
- Last Updated
- Aug 20, 2018
- License
-
102584 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 VILLAGE RDPORT LAVACA, TX, 779792380Browse TX providers · Browse ZIP 77979
- Phone
- 3615523741
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.